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By submitting this form, you understand and agree that your consent to these services is given in consideration of being permitted to participate in the complementary or alternative health care services provided by Stewart’s Caring Place. You acknowledge that you are a voluntary participant in these activities and assume full and complete responsibility for any injury, loss, or damage which may occur during my participation in these events or while on the premises of Stewart’s Caring Place. You hereby release and hold harmless Stewart’s Caring Place, the complementary or alternative health care provider, and all employees, agents, and directors of Stewart’s Caring Place for any and all claims, causes of action, suits or other proceedings which in any way relate to my participation in the complementary or alternative health care services upon the premises of Stewart’s Caring Place for personal injuries or any other damages sustained.
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